HEAD INJURY CENTER OF CHARLOTTE INC. NPI 1780684522

NPI Information

HEAD INJURY CENTER OF CHARLOTTE, INC. is an adult mental health clinic center in Charlotte, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. HEAD INJURY CENTER OF CHARLOTTE, INC. NPI is 1780684522. The provider is registered as an organization entity type.
The provider Is Doing Business As Carolina Neuroservices.

The provider's business location address is:

6853 FAIRVIEW RD
SUITE B
CHARLOTTE, NC
ZIP 28210-363
Phone: (704) 366-9930

The provider's authorized official is Peter Jeffrey Ewert .
The authorized official title is President and has the following contact phone number (704) 366-9930.

The enumeration date for this NPI number is 7/22/2005 and was last updated on 9/25/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.